Organization
ADVANCED PAIN MANAGEMENT CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT WILLENS D.O. (PRESIDENT)
(904) 635-5555
Entity
Organization
Contact information
Practice address
5757 BOOTH RD, BUILDING 100, JACKSONVILLE, FL 32207-5980
(904) 683-2596
(904) 683-2597
Mailing address
5757 BOOTH RD, BUILDING 100, JACKSONVILLE, FL 32207-5980
(904) 683-2596
(904) 683-2597
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS8432
FL
Other
Enumeration date
05/04/2009
Last updated
10/01/2012
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